Individual provider Active NPI

Charbel I Maksoud, M.D.

  • Gastroenterology Physician
  • Joplin, MO
National Provider Identifier
1285845339
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2011009249 Issued in MO
Practice address
3333 McIntosh Cir
Ste 3
Joplin, MO 64804-3649
Phone
(417) 347-8636
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2011009249 MO Primary

Addresses

Primary practice location

3333 McIntosh Cir
Ste 3
Joplin, MO 64804-3649

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000570 MO Practitioner - Gastroenterology 9638348998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

3333 McIntosh Cir
Suite 3
Joplin, MO 64804-3681
Phone (417) 347-8636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011009249MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital CurrentSince Nov 23, 2020 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jul 1, 2011 Accepting new patients
Freeman Neosho Hospital CurrentSince Nov 23, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

3333 McIntosh Cir
Ste 3
Joplin, MO 64804
Phone (417) 347-8636

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

811 W 34th St
Joplin, MO 64804
Phone (417) 622-4262

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1285845339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MCINTOSH CIR",
            "address_2": "STE 3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043649",
            "telephone_number": "417-347-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSOUD",
        "first_name": "CHARBEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2011009249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.